MEDICARE: 68 LOVING HEARTS HOME HEALTH CARE COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871169037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	68 LOVING HEARTS HOME HEALTH CARE COMPANY

Provider Business Mailing Address
First Line	:	18424 KLINGER ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48234-1718
Country	:	US
Telephone Number	:	313-768-4414
Fax Number	:

Provider Business Practice Location Address
First Line	:	18424 KLINGER ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48234-1718
Country	:	US
Telephone Number	:	313-768-4414
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF NURSING/ADMINISTRATOR
Name	:	MARCIA MURPHY
Credential	:	RN
Telephone Number	:	313-768-4414

Provider Enumeration Date	:	05/28/2021
Last Update Date	:	05/28/2021

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